An alternative approach for complicated prosthetic aortic valve endocarditis

BACKGROUND: Surgical treatment of prosthetic valve endocarditis (PVE) with destruction of the aortic root and aortomitral continuity is demanding even in experienced hands. CASE PRESENTATION: Herein, we describe a case of a 71-year-old female patient who presented with PVE that was further complicat...

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Autores principales: Karangelis, Dimos, Krommydas, Argyris, Mitropoulos, Fotios A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8155124/
https://www.ncbi.nlm.nih.gov/pubmed/34037883
http://dx.doi.org/10.1186/s40792-021-01195-7
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author Karangelis, Dimos
Krommydas, Argyris
Mitropoulos, Fotios A.
author_facet Karangelis, Dimos
Krommydas, Argyris
Mitropoulos, Fotios A.
author_sort Karangelis, Dimos
collection PubMed
description BACKGROUND: Surgical treatment of prosthetic valve endocarditis (PVE) with destruction of the aortic root and aortomitral continuity is demanding even in experienced hands. CASE PRESENTATION: Herein, we describe a case of a 71-year-old female patient who presented with PVE that was further complicated by a fistulous abscess cavity. The patient underwent removal of the dehisced prosthetic valve, radical annular debridement, reconstruction of the aortomitral curtain with a pericardial patch as a patch exclusion technique and implantation of a sutureless valve. CONCLUSION: Patch exclusion technique, followed by sutureless valve implantation, might represent a feasible and safe alternative for the surgical treatment of complicated PVE.
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spelling pubmed-81551242021-06-17 An alternative approach for complicated prosthetic aortic valve endocarditis Karangelis, Dimos Krommydas, Argyris Mitropoulos, Fotios A. Surg Case Rep Case Report BACKGROUND: Surgical treatment of prosthetic valve endocarditis (PVE) with destruction of the aortic root and aortomitral continuity is demanding even in experienced hands. CASE PRESENTATION: Herein, we describe a case of a 71-year-old female patient who presented with PVE that was further complicated by a fistulous abscess cavity. The patient underwent removal of the dehisced prosthetic valve, radical annular debridement, reconstruction of the aortomitral curtain with a pericardial patch as a patch exclusion technique and implantation of a sutureless valve. CONCLUSION: Patch exclusion technique, followed by sutureless valve implantation, might represent a feasible and safe alternative for the surgical treatment of complicated PVE. Springer Berlin Heidelberg 2021-05-26 /pmc/articles/PMC8155124/ /pubmed/34037883 http://dx.doi.org/10.1186/s40792-021-01195-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Karangelis, Dimos
Krommydas, Argyris
Mitropoulos, Fotios A.
An alternative approach for complicated prosthetic aortic valve endocarditis
title An alternative approach for complicated prosthetic aortic valve endocarditis
title_full An alternative approach for complicated prosthetic aortic valve endocarditis
title_fullStr An alternative approach for complicated prosthetic aortic valve endocarditis
title_full_unstemmed An alternative approach for complicated prosthetic aortic valve endocarditis
title_short An alternative approach for complicated prosthetic aortic valve endocarditis
title_sort alternative approach for complicated prosthetic aortic valve endocarditis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8155124/
https://www.ncbi.nlm.nih.gov/pubmed/34037883
http://dx.doi.org/10.1186/s40792-021-01195-7
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